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Tony Sommer's avatar

Love this case study example and that no AI was harmed in the making of the waterfall charts.

Preston Alexander's avatar

Haha. Thanks! Have to treat our AI overlords with respect.

Christopher Jon Freyermuth's avatar

Excellent explanation of why the headline valuation is only the beginning.

The same principle applies to startup founders deciding between venture capital, private equity, or remaining independent. Every source of capital is really an exchange of future control, future economics, and future optionality. Understanding those tradeoffs is incredibly important.

Really enjoying this series, thanks.

Lauren M's avatar

Great article, thanks!

Satoshi Kimura's avatar

Really useful breakdown. One point that strongly resonates from the Japan side is how easily the headline valuation can obscure both what sellers actually receive and what they are giving up.

In healthcare transactions, I tend to focus quickly on the bridge from valuation to cash: debt, working capital, reinvestment needs, and the sustainability of post-close earnings.

The senior-versus-junior partner example is especially important. The same transaction can have very different economics depending on career horizon and how much future income is being exchanged for liquidity today.

I’d also be interested in how you think about rollover equity when reimbursement and labor costs are major sources of uncertainty.